Edward Norton plays an office bum (like Neo in The Matrix, except not as gay) who is bullied by his boss, unhappy and insomniac. He goes to group therapy for testicular cancer so he can cry on Meat Loaf's bitch tits (contrary to reports, he was not wearing a fat suit: those were real). The plot has the appearance of being all joined up: "It all started when I met a girl called Marla Singer..."; but it's more like a blind person is playing dot-to-dot on a bumpy bus ride.

The best parts of this film are the little things: like the airline safety card that shows the passengers' true emotions during a sea-landing (panic); the line about making expensive soap from liposuction fat: "It was beautiful. We were selling rich women their own fat asses back to them"; or the bit when Norton says if he could fight any historic figure, he's fight Gandhi. On the whole, there's some great writing (most of it, I suspect, in Chuck Palahniuk's novel), like when a cancer patient gets up to talk about her experiences: "Chloe looked the way Meryl Streep's skeleton would look if you made it smile and walk around the party being extra nice to everybody."